| Organization Name: | FIRTH MEDICAL CENTER PLLC |
| NPI Number: | 1740544089 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN SEARLE (FAMILY NURSE PRACTITIONER) |
| Mailing Address: | 114 S Main St Firth |
| State: | ID US |
| Postal Code: | 832361168 |
| Phone Number: | 2083466614 |
| Fax Number: | 2083466638 |
| NPI Enumeration Date: | 07/02/2012 |
| NPI Last Update Date: | 02/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-657A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |